Organization Active NPI

Melanin Youth Foundation

  • Voluntary or Charitable Agency
  • Perris, CA
National Provider Identifier
1124999214
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
MELANIN YOUTH FOUNDATION
Practice address
21550 Lane St
Perris, CA 92570-8140
Phone
(951) 712-5031
NPI assigned
Sep 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Krystal Melessia SinghNPI 1013888106
Title
President
Phone
(951) 712-5031

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 174H00000X
Community/Behavioral Health Agency 251S00000X
Voluntary or Charitable Agency 251V00000X Primary
DoulaGroup: 193200000X MULTI-SPECIALTY GROUP 374J00000X

Addresses

Primary practice location

21550 Lane St
Perris, CA 92570-8140

Mailing address

19510 Van Buren Blvd.
Ste F3 PMB 152
Riverside, CA 92508-9458
Phone (951) 712-5031

Other practice location 1

1300 Mount Diablo St Ste F3
Perris, CA 92570-1824
Phone (951) 712-5031

Other identifiers 1

IdentifierTypeStateIssuer
1013888106MedicaidCA

National Provider Directory

National Provider Directory

Locations

19510 Van Buren Blvd
Ste F3
Riverside, CA 92508
Phone (707) 344-8928

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1757721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1124999214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19510 VAN BUREN BLVD.",
            "address_2": "STE F3 PMB 152",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925089458",
            "telephone_number": "951-712-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21550 LANE ST",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925708140",
            "telephone_number": "951-712-5031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Mount Diablo St Ste F3",
            "address_purpose": "LOCATION",
            "city": "Perris",
            "state": "CA",
            "postal_code": "925701824",
            "country_code": "US",
            "telephone_number": "951-712-5031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MELANIN YOUTH FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-13",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_middle_name": "MELESSIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-712-5031"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013888106",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perris, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.